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Health-related quality of life results from the IFM 2009 trial: treatment with lenalidomide, bortezomib, and dexamethasone in transplant-eligible patients with newly diagnosed multiple myeloma.

Abstract
The Intergroupe Francophone du Myelome 2009 trial (NCT01191060) assessed health-related quality of life (HRQoL) in patients with newly diagnosed multiple myeloma (NDMM) receiving lenalidomide/bortezomib/dexamethasone (RVd) induction therapy followed by consolidation therapy with either autologous stem cell transplantation (ASCT) plus RVd (RVd-ASCT) or RVd-alone; both groups then received lenalidomide maintenance therapy for 1 year. Global HRQoL, physical functioning, and role functioning scores significantly improved for both cohorts from baseline to the end of consolidation and were sustained during maintenance and follow-up, with clinically meaningful changes (RVd-alone: p = .0002; RVd-ASCT: p < .001). Similarly, both groups showed clinically meaningful improvements from baseline in fatigue, pain, and disease symptom scores. Side effects of treatment scores remained stable. In the RVd-ASCT group, there was transient worsening in HRQoL immediately after ASCT. These findings suggest that the clinical improvements observed with RVd-based treatment are accompanied by overall improvements in HRQoL for patients with NDMM.
AuthorsMurielle Roussel, Benjamin Hebraud, Cyrille Hulin, Aurore Perrot, Denis Caillot, Anne-Marie Stoppa, Margaret Macro, Martine Escoffre, Bertrand Arnulf, Karim Belhadj, Lionel Karlin, Laurent Garderet, Thierry Facon, Shien Guo, Josh Weng, Sujith Dhanasiri, Xavier Leleu, Philippe Moreau, Michel Attal
JournalLeukemia & lymphoma (Leuk Lymphoma) Vol. 61 Issue 6 Pg. 1323-1333 (06 2020) ISSN: 1029-2403 [Electronic] United States
PMID32090636 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Bortezomib
  • Dexamethasone
  • Lenalidomide
Topics
  • Antineoplastic Combined Chemotherapy Protocols (adverse effects)
  • Bortezomib (therapeutic use)
  • Dexamethasone (therapeutic use)
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Lenalidomide (therapeutic use)
  • Multiple Myeloma (diagnosis, drug therapy)
  • Quality of Life
  • Transplantation, Autologous
  • Treatment Outcome

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